MS. Jamie Deresa Hall, F. N.P., G.N.P.

NPI #1841242526 in Marion, Virginia

Provider Information

NPI Number: 1841242526
Entity Type: Individual
Name: MS. Jamie Deresa Hall, F. N.P., G.N.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: F. N.P., G.N.P.
Enumeration Date: May 17, 2006
Last Updated: Dec 11, 2009

Practice Location

Address: 340 BAGLEY CIRCLE
Address 2: SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE
City: Marion
State: Virginia
ZIP Code: 24354-9998
Phone: (276) 783-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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